Senior Internal Auditor enhancing control environments and SOX compliance at Caris. Engaging in audits and contributing to finance and operational improvements.
About the role
- Medical Coding Auditor ensuring accuracy in diagnostic coding within healthcare records. Evaluating coding behavior and collaborating on quality assurance for healthcare providers.
Responsibilities
- Analyze medical claims data and associated documentation to ensure accurate and complete diagnostic risk capture.
- Document findings, including diagnosis changes and opportunities for documentation improvement, and recognize trends.
- Evaluate coding and documentation behavior, providing recommendations for provider improvement.
- Interpret and apply policy and coding standards (e.g., Coding Clinic) that impact financial and operational aspects of risk adjustment coding.
- Collaborate and communicate effectively with internal and external sources to deliver QA findings.
Requirements
- Bachelor's degree or four (4) years of relevant work experience (Required)
- Three (3) years of experience as a RHIA, RHIT, or CPC certified coder within a healthcare provider organization or health insurance company (Required)
- Current certification as a professional coder (RHIA, RHIT, or CPC) (Required)
- CRC certification or willingness to obtain it within the first year of employment.
- Additional certifications such as CCSP, CCS-H, CPC-P, and CPH-H are desirable.
- Nursing or other clinical experience is a plus.
Benefits
- Medical, vision, and dental coverage with low employee premiums.
- Voluntary benefit offerings, including pet insurance for paw parents.
- Life and disability insurance.
- Retirement programs, including a 401K employer match and a pension plan that is vested after 3 years of service.
- Wellness incentives with a wide range of mental well-being resources for you and your dependents.
- Generous paid time off to reenergize.
- Tuition assistance for both undergraduate and graduate degrees.
- Employee recognition program to celebrate anniversaries and team accomplishments.
- Commuter perks and free on-site parking.
- Subsidized on-campus cafes.
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